DURHAM VAMC (NPI# 1760420855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760420855 |
| Entity Type | Organization |
| Organization Name | DURHAM VAMC |
| Other Organization Name | RALEIGH VA CLINIC |
| Practice Address |
3305 Sungate Blvd Raleigh NC 27610-2871 |
| Mailing Address |
Po Box 89482 Cleveland OH 44101-6482 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| RALEIGH VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446105 | Durham Vamc | Clinic/Center | 11618 Us 70 Business Highway West, Suites 100 and 200, Clayton, NC 27520-2275 | 2020-01-17 |
| 1609274943 | Durham Vamc | Clinic/Center | 8081 Arco Corporate Dr, Suite 103, Raleigh, NC 27617-2041 | 2014-12-19 |
| 1023056488 | Durham Vamc | Clinic/Center | 5240 Highway 70 W, Morehead City, NC 28557-4506 | 2006-06-04 |
| 1124475892 | Durham Vamc | Clinic/Center | 2600 Atlantic Ave, Suite 200, Raleigh, NC 27604-1502 | 2016-05-23 |
| 1225432248 | Durham Vamc | Department of Veterans Affairs (VA) Pharmacy | 401 Moye Blvd, Greenville, NC 27834-2885 | 2014-10-20 |
| 1013324110 | Durham Vamc | Clinic/Center | 1824 Hillandale Rd, Durham, NC 27705-2650 | 2014-07-21 |
| 1972910057 | Durham Vamc | Clinic/Center | 3040 Hammond Business Pl, Suite 105, Raleigh, NC 27603-3666 | 2014-07-21 |
| 1104233204 | Durham Vamc | Clinic/Center | 1830 Hillandale Rd, Durham, NC 27705-2670 | 2014-07-21 |
| 1417109471 | Durham Vamc | Clinic/Center | 508 Fulton St, Durham, NC 27705-3875 | 2008-10-21 |
| 1720251275 | Durham Vamc | Military Hospital | Duke University Medical Center, Erwin Rd, Durham, NC 27710-0001 | 2008-04-04 |
| Street Address |
3305 SUNGATE BLVD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-2871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669432183 | Naveena Polavarapu | Internal Medicine | 3305 Sungate Blvd, Raleigh, NC 27610 | 2006-03-27 |
| 1043483407 | Guy W. Towne Jr. | Social Worker | 3305 Sungate Blvd, Raleigh, NC 27610-2871 | 2008-04-08 |
| 1225188196 | Lisa Ann Sanford | Nurse Practitioner | 3305 Sungate Blvd, Raleigh, NC 27610-2871 | 2007-01-11 |
| 1013019488 | Jane Mcnab Deveau | Psychiatry & Neurology | 3305 Sungate Blvd, Raleigh Cboc - Vamc, Raleigh, NC 27610-2871 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609274943 | Durham Vamc | Clinic/Center | 8081 Arco Corporate Dr, Suite 103, Raleigh, NC 27617-2041 | 2014-12-19 |
| 1124475892 | Durham Vamc | Clinic/Center | 2600 Atlantic Ave, Suite 200, Raleigh, NC 27604-1502 | 2016-05-23 |
| 1972910057 | Durham Vamc | Clinic/Center | 3040 Hammond Business Pl, Suite 105, Raleigh, NC 27603-3666 | 2014-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446105 | Durham Vamc | Clinic/Center | 11618 Us 70 Business Highway West, Suites 100 and 200, Clayton, NC 27520-2275 | 2020-01-17 |
| 1659879138 | Fayetteville Vamc | Clinic/Center | 4 Josh Ct, Jacksonville, NC 28546-0052 | 2018-01-30 |
| 1194256362 | Fayetteville Vamc | Clinic/Center | 4101 Raeford Road, Suite 100-b, Fayetteville, NC 28304-4114 | 2017-03-21 |
| 1457719312 | Salisbury Vamc | Clinic/Center | 3506 W Tyvola Road, Charlotte, NC 28208-9998 | 2016-02-08 |
| 1124422308 | Fayetteville Vamc | Clinic/Center | 306 Brynn Marr Rd, Jacksonville, NC 28546-7023 | 2014-10-16 |
| 1962819052 | Fayetteville Vamc | Clinic/Center | 18 Doctors Cir Ste 2, Supply, NC 28462-4089 | 2014-07-21 |
| 1114270212 | Fayetteville Vamc | Clinic/Center | 3112 Tramway Road, Sanford, NC 27332-9998 | 2012-10-26 |
| 1174800585 | Hampton Vamc | Clinic/Center | 1845 West City Drive, Elizabeth City, NC 27909-9633 | 2011-11-14 |
| 1912201146 | Fayetteville Vamc | Clinic/Center | 139 Three Hunts Drive, Pembroke, NC 28372-6800 | 2011-01-03 |
| 1811225428 | Asheville Vamc | Clinic/Center | 2270 College Ave Ste 145, Forest City, NC 28043-2459 | 2009-11-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.